MEDICARE: SAN DIEGO MISSION ACADEMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1730039751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN DIEGO MISSION ACADEMY

Provider Business Mailing Address
First Line	:	43141 BUSINESS CENTER PKWY STE 102
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-4532
Country	:	US
Telephone Number	:	833-980-1356
Fax Number	:

Provider Business Practice Location Address
First Line	:	43141 BUSINESS CENTER PKWY STE 102
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-4532
Country	:	US
Telephone Number	:	833-980-1356
Fax Number	:

Authorized Official
Title or Position	:	AREA SUPERINTENDENT
Name	:	LINDSAY REESE
Credential	:
Telephone Number	:	619-633-9939

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “SAN DIEGO MISSION ACADEMY ” Practice Location

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